The patient, a busy executive who works 80 hours a week, is ...

[shenderson6]

The patient, a busy executive who works 80 hours a week, is admitted for angina. The patient is demonstrating physical signs of stress related to the work environment.
 
  An appropriate nursing intervention for this patient includes releasing muscle tension every 2 hours. This type of inter-vention is best known as: a. regular exercise.
  b. assertiveness training.
  c. cognitive therapy.
  d. progressive muscle relaxation.

Question 2

A patient complains of pain. The nursing order calls for pain medication via injection. The patient is afraid of needles. The nurse can assist the patient through this stressful incident by encouraging the patient to think of a relaxing situation.
 
  The nurse's actions can be identified as: a. restorative care.
  b. cognitive therapy.
  c. assertiveness training.
  d. progressive muscle relaxation.

[elyse44]

Answer to Question 1

D
Muscles tense in the presence of anxiety-provoking thoughts and events. With progressive muscle relaxation physiological tension diminishes through a systematic approach to releasing tension in major muscle groups. A regular exercise program improves muscle tone and posture, controls weight, reduces tension, improves circulation, triggers release of endorphins, and promotes relaxation. Assertiveness training teaches individuals to communicate effectively regarding their needs and desires. The ability to resolve conflict with others through assertiveness training reduces stress.

Answer to Question 2

B
Cognitive therapy teaches patients how certain thinking patterns cause symptoms of stress or de-pression. Cognitive therapy focuses on changing ways of thinking so that a patient feels empo-wered and in control of his or her own life. Restorative care occurs when a person has recovered from a stressful situation, and is taught stress management skills to reduce the number and inten-sity of stress responses in future situations. Assertiveness training teaches individuals to commu-nicate effectively regarding their needs and desires. The ability to resolve conflict with others through assertiveness training reduces stress. When a group leader teaches assertiveness, the ef-fects of interacting with other people increase the benefits of the experience. Progressive muscle relaxation diminishes physiological tension through a systematic approach to releasing tension in major muscle groups.

[shenderson6]

Excellent

[elyse44]

TYSM